FORM 1023-EZ for KIHEI SWIM CLUB

Field Data
EIN 46-5461961
Case Number EO-2015273-000148
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIHEI SWIM CLUB
Organization’s Mailing Address 760 S KIHEI ROAD APT 101
City KIHEI
State HI
ZIP 96753
Accounting period End 12
Primary contact name KELLI BRAXTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT LEONARD
PRESIDENT
760 SOUTH KIHEI ROAD
KIHEI HI 96753

Officer/Director/Trustee Two

GORDON GILLIS
VICE PRESIDENT
201 HOOPILI AKAU ST
KIHEI HI 96753

Officer/Director/Trustee Three

SARA AUGUSTINE
SECRETARY
2811 PUU HOOLAI STREET
KIHEI HI

Officer/Director/Trustee Four

KELLI BRAXTON
TREASURER
PO BOX 1733
KIHEI HI 96753

Officer/Director/Trustee Five

ARI GAUGE
REGISTRAR
PO BOX 332
KIHEI HI 96753

Organization’s website WWW.KIHEISWIMCLUB.ORG
Organization’s email KIHEISWIMCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/22/2014
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N67 - Swimming, Water Recreation
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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